Informationen:
Fehler:
ID
25157
Beschreibung
CALGB 50901 Prior Therapy Form Ofatumumab in Treating Patients With Previously Untreated Stage II, Stage III, or Stage IV Follicular Non-Hodgkin Lymphoma Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=9F3F8197-1E45-C1E1-E040-BB89AD4335C2
Link
Stichworte
Versionen (2)
- 19.09.12 19.09.12 -
- 28.08.17 28.08.17 -
Hochgeladen am
28. August 2017
DOI
Für eine Beantragung loggen Sie sich ein.
Lizenz
Creative Commons BY-NC 3.0 Legacy
Modell Kommentare :
Hier können Sie das Modell kommentieren. Über die Sprechblasen an den Itemgruppen und Items können Sie diese spezifisch kommentieren.
Itemgroup Kommentare für :
Item Kommentare für :
Um Formulare herunterzuladen müssen Sie angemeldet sein. Bitte loggen Sie sich ein oder registrieren Sie sich kostenlos.
Lymphoma NCT01190449 Treatment - CALGB 50901 Prior Therapy Form - 3210308v1.0
Please indicate all prior cancer treatment the patient has received. More than one therapy may be included. Multi-modality treatment should be listed separately (e.g. mastectomy followed by tamoxifen - code as surgery and hormonal therapy).
Ähnliche Modelle
Please indicate all prior cancer treatment the patient has received. More than one therapy may be included. Multi-modality treatment should be listed separately (e.g. mastectomy followed by tamoxifen - code as surgery and hormonal therapy).
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item
Prior therapy type
integer
C25284 (NCI Thesaurus ValueDomain)
C25629 (NCI Thesaurus ObjectClass)
C15368 (NCI Thesaurus ObjectClass-2)
C25365 (NCI Thesaurus Property)
C1514463 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
C25629 (NCI Thesaurus ObjectClass)
C15368 (NCI Thesaurus ObjectClass-2)
C25365 (NCI Thesaurus Property)
C1514463 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
CL Item
No Previous Exposure To Drug (nos) (1)
(Comment:en)
CL Item
Systemic Chemotherapy With A Single Agent Regimen (2)
(Comment:en)
CL Item
Systemic Chemotherapy With A Regimen Containing Multiple Agents (3)
(Comment:en)
CL Item
Non-systemic Chemotherapy Treatment Or Chemotherapy Not Described By Chemotherapy Single Agent Systemic Or Multi-agent Systemic (4)
(Comment:en)
CL Item
Prior Therapy With Agents That Are Not Known To Cause Damage To Cycling Cells (5)
(Comment:en)
CL Item
Drug And/or Immunotherapy (6)
(Comment:en)
CL Item
Cancer Therapy Which Incorporates Hormonal Manipulation (7)
(Comment:en)
CL Item
Surgical Procedure, Or Operation, With Therapeutic Intent (8)
(Comment:en)
CL Item
Targeted Ionizing Radiation Therapy Utilizing Radioactive Implants Or Seeds (9)
(Comment:en)
CL Item
High Dose Chemotherapy Combined With Transplantation Of Bone Marrow Cells (10)
(Comment:en)
CL Item
Prior Therapy (nos) (11)
(Comment:en)
CL Item
Treatment Of Human Disease By Gene Transfer (12)
(Comment:en)
CL Item
Agents Administered To Control The Replication And/or Spread Of Viruses (13)
(Comment:en)
CL Item
Treatment With An Agent That Prevents Or Impairs The Translation Of The Genetic Message For Production Of A Specific Protein (14)
(Comment:en)
CL Item
Anticancer Treatment With A Live, Replication-competent Virus (15)
(Comment:en)
CL Item
Substance Or Group Of Substances Administered To Induce The Immune System To Recognize And Destroy Tumors Or Microorganisms (16)
(Comment:en)
CL Item
Therapy Nos (17)
(Comment:en)
CL Item
Hematopoietic Stem Cell Transplantation (18)
(Comment:en)
CL Item
Image Directed Local Therapy (19)
(Comment:en)
Number of prior chemotherapy regimens
Item
Number of prior chemotherapy regimens
integer
C25337 (NCI Thesaurus ValueDomain)
C15632 (NCI Thesaurus ObjectClass)
C25629 (NCI Thesaurus ObjectClass-2)
C15697 (NCI Thesaurus Property)
C0392920 (UMLS CUI [1,1])
C0449788 (UMLS CUI [1,2])
C15632 (NCI Thesaurus ObjectClass)
C25629 (NCI Thesaurus ObjectClass-2)
C15697 (NCI Thesaurus Property)
C0392920 (UMLS CUI [1,1])
C0449788 (UMLS CUI [1,2])
MedDRA Disease Code
Item
MedDRA Disease Code
integer
C41331 (NCI Thesaurus ObjectClass)
C71886 (NCI Thesaurus ObjectClass-2)
C25162 (NCI Thesaurus Property)
C43820 (NCI Thesaurus Property-2)
C25162 (NCI Thesaurus ValueDomain)
C41331 (NCI Thesaurus ValueDomain-2)
C45255 (NCI Thesaurus ValueDomain-3)
C43820 (NCI Thesaurus ValueDomain-4)
C25714 (NCI Thesaurus ValueDomain-5)
C0012634 (UMLS CUI [1,1])
C1552878 (UMLS CUI [1,2])
C71886 (NCI Thesaurus ObjectClass-2)
C25162 (NCI Thesaurus Property)
C43820 (NCI Thesaurus Property-2)
C25162 (NCI Thesaurus ValueDomain)
C41331 (NCI Thesaurus ValueDomain-2)
C45255 (NCI Thesaurus ValueDomain-3)
C43820 (NCI Thesaurus ValueDomain-4)
C25714 (NCI Thesaurus ValueDomain-5)
C0012634 (UMLS CUI [1,1])
C1552878 (UMLS CUI [1,2])
Item
Assigned Treatment Arm
integer
C15368 (NCI Thesaurus ObjectClass)
C42651 (NCI Thesaurus ObjectClass-2)
C32141 (NCI Thesaurus Property)
C25426 (NCI Thesaurus Property-2)
C25284 (NCI Thesaurus ValueDomain)
C1522541 (UMLS CUI [1,1])
C1832027 (UMLS CUI [1,2])
C42651 (NCI Thesaurus ObjectClass-2)
C32141 (NCI Thesaurus Property)
C25426 (NCI Thesaurus Property-2)
C25284 (NCI Thesaurus ValueDomain)
C1522541 (UMLS CUI [1,1])
C1832027 (UMLS CUI [1,2])
CL Item
Ofatumumab 500 Mg (1)
CL Item
Ofatumumab 1000 Mg (2)